MARTELL DA'SHAWN SHANNON

LONG BEACH, CA
NPI1295362267
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy251S00000X 
Enumeration Date2020-03-26
Last Update Date2020-03-26
Business Address
MARTELL DA'SHAWN SHANNON
174 E 59TH ST
LONG BEACH, CA 90805-3468
Phone number: 562-841-7378
Mailing Address
MARTELL DA'SHAWN SHANNON
174 E 59TH ST
LONG BEACH, CA 90805-3468
Phone number: 562-841-7378